Pre-Assessment Screening Form

Pre-Assessment Intake Form

Thank you for your interest in using Reason Assessments for your child's educational testing. The first step in determining if your child will benefit from an educational assessment is to fill out the pre-assessment intake form below. Once I receive your intake form, I will call you for your free pre-assessment interview and consulation to help you determine the best course of action for your child.

Have a question? Please click here.
Form Instructions
Questions need to be answered as accurately as possible to properly screen your child. If a question does not apply to your child, please select N/A (Not applicable). If you are not sure about a question, answer to the best of your ability and make a note of that question to discuss further during the pre-assessment interview.
Pre-Assessment Intake